1.Easy
Which side effects are common after inhaled salbutamol (albuterol)?
- AConstipation and dry eyes
- BFine tremor and a fast heart rate
- CWeight gain and ankle swelling
- DDrowsiness and a slow heart rate
2.Easy
In pericarditis, which structure is inflamed?
- AThe coronary arteries
- BThe sac that surrounds the heart
- CThe heart muscle itself
- DThe inner lining of the heart chambers
3.Easy
In which situation can a pulse oximeter show a falsely normal reading?
- AA warm hand at rest
- BCarbon monoxide poisoning
- CBreathing room air
- DA regular pulse of 80/min
4.Medium
Which ECG pattern is typical of acute pericarditis?
- AWidespread saddle-shaped ST elevation with PR depression
- BA sawtooth baseline with a regular ventricular rate
- CTall peaked T waves with a wide QRS
- DST elevation only in leads II, III and aVF with Q waves
5.Medium
How is orthostatic (postural) hypotension usually assessed?
- ABP once sitting, then once lying down straight after a large meal
- BBP in both arms at the same moment while sitting
- CBP only standing, after a brisk walk along the corridor
- DBP lying after rest, then again after 1 and 3 minutes standing
6.Medium
A patient stops ramipril because of a troublesome dry cough. Which drug class is a common alternative?
- AAn angiotensin II receptor blocker such as losartan
- BA non-selective beta-blocker such as propranolol
- CA nitrate such as isosorbide mononitrate
- DA loop diuretic such as furosemide
7.Hard
A patient with life-threatening asthma has not responded to repeated nebulised salbutamol (albuterol), ipratropium and steroids. Which drug is commonly given intravenously next?
- AMorphine
- BIntravenous furosemide
- CMagnesium sulfate
- DMetoprolol
8.Hard
A nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?
- A"I will tell my dentist that I take warfarin."
- B"I will have regular INR blood tests."
- C"If I miss a dose, I will take two the next day."
- D"I will check before taking any new medicines or herbal remedies."
Answer key
- 1. B · Fine tremor and a fast heart rate
- 2. B · The sac that surrounds the heart
- 3. B · Carbon monoxide poisoning
- 4. A · Widespread saddle-shaped ST elevation with PR depression
- 5. D · BP lying after rest, then again after 1 and 3 minutes standing
- 6. A · An angiotensin II receptor blocker such as losartan
- 7. C · Magnesium sulfate
- 8. C · "If I miss a dose, I will take two the next day."
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